CLIC Sargent diary

You can download and print PDFs from this page and add them to your diary to record some treatment information. 

These inserts include contact information and sign-in sheets for professionals involved in your child’s care, as well as covering aspects of treatment such as blood results and side effects. You can print off as many copies as you like and insert them in your diary to help keep track of your child’s treatment. 

  • Introductory informationGuidance on how to use this diary to help effective communication between family and professionals
  • Record of blood resultsA full blood count (FBC) measures the number of different types of blood cells in the blood. This is one of the main ways to monitor the side effects of treatment
  • Side effect patient’s diaryTo be used to record the degree of side effects, according to the descriptions on the Side effects scoring chart.
  • Insuflon change recordAn Insuflon is a device that goes into the soft tissue beneath the skin and is used to give some treatments.
  • NotesLined pages for note-taking

Share